Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELLVILLE GASTROENTEROLOGY CLINIC PA
Active OrganizationMedical Specialty Clinic · RUSSELLVILLE, AR
Registration Details
- NPI Number
- 1750579488
- Provider Type
- Organization
- NPI Issued
- Oct 9, 2007 (18.532447981602 yrs)
- Last Updated
- Jan 22, 2015
- License
-
C6004 (AR)
Practice Information
- Address
-
1611 W MAIN STRUSSELLVILLE, AR, 728012719Browse AR providers · Browse ZIP 72801
- Phone
- 4798905881
- Fax
- 4798905092
- Primary Specialty
-
Medical Specialty Clinic
261QM2500X
- Additional Specialty
- Medical Specialty Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.